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Individual

CHARLES JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5126 LILY POND CIR, WAXHAW, NC 28173-0247
(907) 343-9590
Mailing address
5126 LILY POND CIR, WAXHAW, NC 28173-0247
(907) 343-9590

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
03/25/2019
Last updated
03/25/2019
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